- Prime Healthcare (Passaic, NJ)
- …and appeals. Document and track all communication attempts with insurance providers and health plans . Utilization review tech will follow up on all denials while ... Truven Health Analytics. For information, visitwww.smh-nj.com. Responsibilities The Utilization review tech essentially works to coordinate the utilization review… more
- Lockheed Martin (Littleton, CO)
- …Learn about the Trident II D5 Fleet Ballistic Missile As a Systems Engineering Review Coordinator, you will: * Provide technical guidance for internal review of ... products * Assess baseline artifacts for acceptability in meeting of technical review standard criteria and the maturity necessary for the planned milestone … more
- Amentum (Washington, DC)
- This role will serve as a Project Supervisor ( Review ) assigned to the Radiation Exposure Compensation Act (REDA) program of the DOJ Civil Division. Works under the ... + Assist Project Manager in all aspects of Claims Review team management. + Assist in the daily oversight...and claims processing needs, and develop and execute detailed plans for addressing those needs. + Experience in claim… more
- Mobile Health (Queens, NY)
- …Monday-Friday 9:00am-5:00pm EST Salary Range $90,000.00-$110,000.00/Annually Overview The Medical Review Manager is responsible for overing the accuracy, efficiency ... standards. Reporting directly to the Director of Clinical Operations, the Medical Review Manager provides leadership, guidance, and structure to the team, ensuring… more
- HCA Healthcare (Brentwood, TN)
- …invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that ... life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that...resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9%… more
- Highmark Health (Pittsburgh, PA)
- …:** **JOB SUMMARY** This job is responsible for the execution of the strategic plan of the Financial Investigations & Provider Review (FIPR) organization. The ... and secure financial recoveries when necessary, and/or to develop action plans for cases referred to law enforcement, if applicable. **ESSENTIAL RESPONSIBILITIES**… more
- Prime Healthcare (Ontario, CA)
- …actively seeking new members to join our corporate team! Responsibilities The Utilization review tech essentially works to coordinate the utilization review and ... appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all… more
- City of New York (New York, NY)
- …and stormwater plans . - Utilizing the agency database for project review , incorporating a wide variety of layers including soils and topography during ... and field reports that record project progress. Correcting suspected plan inconsistencies, and potential or existing deficiencies and provides...Ability to write and edit reports. - Ability to review and analyze drawings, plans and maps.… more
- TD Bank (Burlington, VT)
- …for cash and/or equity incentive awards, generally through participation in an incentive plan ) and several other key plans such as health and well-being ... credit professional and individual contributor on the team, the Loan Review Commercial Examiner II independently conducts borrower file reviews within the… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a*Utilization Review Manager* to join ourTransitional Care Team.Thisis a full-time role. *Purpose of this position: *Manages ... the design, development, implementation, and monitoring of utilization review functions. Oversees daily operations, which include supervising staff performing… more